FWD Health Statement and Declaration

HEALTH STATEMENT  

I declare that I never had Liver disease, Heart attack, Stroke, Cancer, Tumour of any kind, Diabetes, Kidney disease, HIV/AIDS, mental or mood disorders, loss of vision (other than vision corrected by prescription lens), or loss or deformity of limbs; AND I do not have a medical condition (other than flu) that has required repeated consultation or 2 weeks or more of continuous treatment in last 3 years; AND I am not awaiting any medical investigations, receiving treatment, or experiencing any symptoms; AND I have never been declined, postponed, or accepted on modified terms for any insurance plans.

DECLARATIONS  

I understand and confirm that all information I have provided to TrueMoney are complete and true. Otherwise, I acknowledge that FWD may nullify this insurance policy and Supplementary Benefit/s if any. I authorize FWD to collect, store and use my information to evaluate my enrollment. I also authorize FWD to disclose such information to its parent, partners, service providers, subsidiaries and affiliates (collectively as “Affiliates”), and any medical information sharing facility, to process my enrollment and/or service my policy, underwriting, any after-sales transaction, direct marketing, profiling, risk assessment, complaints handling, and in addressing any of your concerns. I agree to be contacted by FWD and its Affiliates for any of the above-stated purposes.